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5 . Will the project: <br /> a . generate objectional odors : Unknown <br /> b. generate any discharge into surface waters :-Unknown <br /> c . generate or store hazardous materials: Unknown <br /> d. expose people to any hazardous materials or situations: No <br /> e. displace people :_No <br /> f . use significant amounts of energy or natural resources: No <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions : No <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner, trustee, trustor , or <br /> corporate officer . ) <br /> LJ Owner ' s legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> and that the foregoing is true and correct . <br /> WELDON MOSS (Date ) <br /> WAYNE C AIG (Date) <br /> Major Subdivision - 10 - (6/86 ) <br />